Your Role The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the role helps to
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare AccessRemote- California Open Door Community Health Centers (ODCHC) relies on billing for services rendered and generated revenue for a significant portion of
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united
Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of
Join the Team Modernizing Medicine At ModMed, we’re not just building software—we’re reimagining the healthcare experience. Founded in 2010 by a practicing physician and a successful tech entrepreneur, we took a radically different approach: we hired
The Coding Auditor 1 at Baylor Scott & White Health performs coding quality audits across coders, including third-party suppliers, using ICD-10-CM/PCS, HCPCS and CPT references to ensure accurate classification and DRG grouping. Applicants must have 5 years of coding experience
A prominent healthcare institution in Albany is looking for a Rev Cycle Internal Auditor to enhance compliance and audit initiatives. The role involves managing projects related to the revenue cycle, analyzing data for discrepancies, and collaborating with
Job Description:Summary The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical documentation, and/or inpatient coding and has a high level of understanding of the current MS-DRG, and APR-DRG payment
CDPHP in Albany, NY is seeking a Payment Integrity DRG Coding & Clinical Validation Analyst with deep ICD-10/DRG expertise to review acute inpatient records and validate DRG assignments. You will audit claims, ensure CMS guideline compliance, and mentor
Join to apply for the Senior Audit Clerk role at CSEA Local 1000 1 day ago Be among the first 25 applicants Join to apply for the Senior Audit Clerk role at CSEA Local 1000 Get AI-powered advice
Overview Manages multiple or all units in the Health Information Management department, ensuring operations for retention and security of patient care information. Interfaces with clinical, research, legal, reimbursement, and other departments across the organization. Works under
Risk Adjustment Compliance Coding Specialist (Consultant) The Risk Adjustment Compliance Coding Specialist (Consultant) helps to ensure organizational compliance with laws related to Risk Adjustment across our Marketplace (ACA), Medi-Cal (Medicaid), and Medicare Advantage lines of business. Specifically, the
Albany Medical Center is seeking a Senior Hospital Coder to perform thorough coding quality audits and provide staff education. This remote position demands expertise in ICD-10-CM coding and effective communication skills. Key responsibilities include optimizing reimbursement, educating healthcare providers
About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live
100 Albany Med Health System seeks a Senior Hospital Coder for a remote position. This role involves performing detailed inpatient coding quality audits, providing education to coding staff, and monitoring productivity trends. One of the key responsibilities is mentoring
The International Rescue Committee (IRC) responds to the worlds worst humanitarian crises, helping to restore health, safety, education, economic wellbeing, and power to people devastated by conflict and disaster. Founded in 1933 at the call of
Requisition ID # 173367 Job Category: Information Technology Job Level: Individual Contributor Business Unit: Technology & Security Work Type: Hybrid Job Location: Oakland Department Overview Information Systems Technology Services is a unified organization comprised of various
This role sits at the intersection of regulatory privacy and compliance, health plan operations, and revenue cycle integrity. The Senior Regulatory Compliance & Revenue Cycle Analyst is responsible for advancing compliance across payer relationships, reimbursement practices,
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